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 ORIGINAL ARTICLE
Year : 2020  |  Volume : 68  |  Issue : 7  |  Page : 79--84

Recent Developments in Endoscopic Endonasal Approach for Pituitary Adenomas


1 Department of Neurosurgery, Superspeciality Hospital, NSCB Medical College, Jabalpur, MP, India
2 Professor, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. P Sarat Chandra
Room 7, 6th Floor, CN Center, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.287671

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Background: Endoscopic endonasal transsphenoidal approach has become the workhorse for pituitary adenomas. The residual rates and complications continue to present as challenges for the pituitary surgeons. Objective: To review the recent developments in endoscopic pituitary surgeries for improving patient outcomes and safety rates Methodology: A search of the last ten years, on PubMed and Google Scholar was performed with the keywords “Pituitary and Neuroendoscopy”. A total of 345 articles were found (44 review, 193 original). Relevant articles were chosen. Results: Substantial improvement has taken place in the field of endoscopic pituitary surgery in the last decade. These include 3D printing, 3D endoscopes, 3D neuronavigation, multi-modal neuronavigation, ultra-high-definition endoscopes, optical fluorescence agents, intraoperative MRI, to name a few. Conclusion: The technological advancements have increased the resection rates, improved patient outcomes, and helped in the training of younger surgeons. A higher cost remains a concern.






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